Back Schools in Occupational Health Care : Design of a Randomised Controlled Trial and Cost-Effectiveness Study

Heymans, Martijn W., de Vet, Henrica C.W., Bongers, Paulien M., Koes, Bart W. and van Mechelen, Willem (2004) Back Schools in Occupational Health Care : Design of a Randomised Controlled Trial and Cost-Effectiveness Study. Journal of Manipulative And Physiological Therapeutics, 27 7: 457-465. doi:10.1016/j.jmpt.2004.06.004


Author Heymans, Martijn W.
de Vet, Henrica C.W.
Bongers, Paulien M.
Koes, Bart W.
van Mechelen, Willem
Title Back Schools in Occupational Health Care : Design of a Randomised Controlled Trial and Cost-Effectiveness Study
Journal name Journal of Manipulative And Physiological Therapeutics   Check publisher's open access policy
ISSN 0161-4754
1532-6586
Publication date 2004-09-01
Sub-type Article (original research)
DOI 10.1016/j.jmpt.2004.06.004
Open Access Status Not yet assessed
Volume 27
Issue 7
Start page 457
End page 465
Total pages 9
Place of publication New York, N.Y
Publisher Elsevier
Language eng
Subject 1103 Clinical Sciences
Formatted abstract
Objectives: To compare the effect of manual therapy in addition to the stay-active concept versus the stay-active concept only in low back pain patients.

Study Design: A randomized, controlled trial during 10 weeks.

Methods: One hundred sixty outpatients with acute or subacute low back pain were recruited from a geographically defined area. They were randomly allocated to a reference group treated with the stay-active concept and, in some cases, muscle stretching and an experimental group receiving manual therapy and, in some cases, steroid injections in addition to the stay-active concept. Pain and disability rating index were used as outcome measures.

Results: At baseline, the experimental group had somewhat more pain, a higher disability rating index, and more herniated disks than the reference group. After 5 and 10 weeks, the experimental group had less pain and a lower disability rating index than the reference group.

Conclusions: The manual treatment concept used in this study in low back pain patients appears to reduce pain and disability rating better than the traditional stay-active concept.



Keyword Low Back Pain
Disability Rating
Manipulation
Mobilization
Stay-Active Care
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Human Movement and Nutrition Sciences Publications
 
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Created: Mon, 06 Apr 2009, 21:28:16 EST by Maryanne Watson on behalf of School of Human Movement and Nutrition Sciences